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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005125naa a2200721 4500
001oai:gup.ub.gu.se/260775
003SwePub
008240528s2017 | |||||||||||000 ||eng|
009oai:openarchive.ki.se:10616/45966
009oai:prod.swepub.kib.ki.se:135231261
022 a 0002-9270
024a 10616/459662 hdl
024a https://gup.ub.gu.se/publication/2607752 URI
024a https://doi.org/10.1038/ajg.2016.5032 DOI
024a http://hdl.handle.net/10616/459662 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1352312612 URI
040 a (SwePub)gud (SwePub)kid (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Bonnert, M.u Karolinska Institutet4 aut
2451 0a Internet-Delivered Cognitive Behavior Therapy for Adolescents With Irritable Bowel Syndrome: A Randomized Controlled Trial
264 1a Stockholm :b Ovid Technologies (Wolters Kluwer Health),c 2017
520 a OBJECTIVES: Few treatments have been able to effectively manage pediatric irritable bowel syndrome (IBS). Internet-delivered cognitive behavior therapy (Internet-CBT) based on exposure for abdominal symptoms is effective for adult IBS. The objective of this study was to evaluate the efficacy of Internet-CBT based on behavioral exposure for adolescents with IBS. METHODS: Adolescents with IBS fulfilling the Rome III criteria were randomized to either Internet-CBT or a wait-list control. The Internet-CBT was a 10-week intervention where the main component was exposure to IBS symptoms by reduction of avoidance of abdominal symptoms and instead stepwise provocation of symptoms. The primary outcome was total score on Gastrointestinal Symptoms Rating Scale for IBS (GSRS-IBS). Secondary outcomes included adolescent- and parent-rated quality of life and parent-rated gastrointestinal symptoms. Difference between groups was assessed from pretreatment to posttreatment and the Internet-CBT group was also evaluated at 6 months after treatment completion. RESULTS: A total of 101 adolescents with IBS (13-17 years of age) were included in this study. Dropout rates were low (6%) and all randomized patients were included in intent-to-treat analyses based on mixed effects models. Analyses showed a significant larger pretreatment to posttreatment change on the primary outcome GSRS-IBS (B=-6.42, P=0.006, effect size Cohen's d=0.45, 95% confidence interval (0.12, 0.77)) and on almost all secondary outcomes for the Internet-CBT group compared with the control group. After 6 months, the results were stable or significantly improved. CONCLUSIONS: Internet-CBT based on exposure exercises for adolescents with IBS can effectively improve gastrointestinal symptoms and quality of life.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
653 a Adolescent
653 a Cognitive Therapy/*methods
653 a Constipation/etiology/physiopathology
653 a Diarrhea/etiology/physiopathology
653 a Female
653 a Humans
653 a *Internet
653 a Irritable Bowel Syndrome/complications/physiopathology/*therapy
653 a Male
653 a Quality of Life
653 a Severity of Illness Index
653 a Therapy
653 a Computer-Assisted/*methods
653 a Treatment Outcome
700a Olen, O.u Karolinska Institutet4 aut
700a Lalouni, M.u Karolinska Institutet4 aut
700a Benninga, M. A.4 aut
700a Bottai, M.u Karolinska Institutet4 aut
700a Engelbrektsson, J.u Karolinska Institutet4 aut
700a Hedman, E.u Karolinska Institutet4 aut
700a Lenhard, F.u Karolinska Institutet4 aut
700a Melin, B.4 aut
700a Simrén, Magnus,d 1966u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition4 aut0 (Swepub:gu)xsimrm
700a Vigerland, S.u Karolinska Institutet4 aut
700a Serlachius, E.u Karolinska Institutet4 aut
700a Ljotsson, B.u Karolinska Institutet4 aut
710a Karolinska Institutetb Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition4 org
710a Karolinska Institutet
710a Karolinska Institutet
773t Am J Gastroenterold Stockholm : Ovid Technologies (Wolters Kluwer Health)g 112:1, s. 152-162q 112:1<152-162x 0002-9270x 1572-0241
856u http://openarchive.ki.se/xmlui/bitstream/10616/45966/5/10.1038_ajg.2016.503.pdf
856u http://hdl.handle.net/10616/45966x primaryx Object in contextx freey FULLTEXT
8564 8u https://gup.ub.gu.se/publication/260775
8564 8u https://doi.org/10.1038/ajg.2016.503
8564 8u http://hdl.handle.net/10616/45966
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:135231261

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